Use of computational fluid dynamics in the design of surgical procedures: Application to the study of competitive flows in cavopulmonary connections

Slides:

Advertisements

Similar presentations

Effects of oxygen, positive end-expiratory pressure, and carbon dioxide on oxygen delivery in an animal model of the univentricular heart Christopher.

Advertisements

Living related donor middle lobe lung transplant in a pediatric patient Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,

Roger J.F. Baskett, MD, David B. Ross, MD

Inhaled nitric oxide reduces human lung allograft dysfunction

Effects of oxygen, positive end-expiratory pressure, and carbon dioxide on oxygen delivery in an animal model of the univentricular heart Christopher.

Visualization of flow structures in Fontan patients using 3-dimensional phase contrast magnetic resonance imaging Kartik S. Sundareswaran, PhD, Christopher.

Definition of proximal anastomosis in the doors study

Christopher W. Baird, MD, Joseph M. Forbess, MD

Modified Hemi-Fontan Procedure

Linear end-systolic pressure-volume relationship during pulsatile left ventricular bypass represents native heart function Osamu Kawaguchi, MD, John.

Living related donor middle lobe lung transplant in a pediatric patient Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,

Hani K. Najm, MD, Christopher A

Alterations in pulmonary artery flow patterns and shear stress determined with three- dimensional phase-contrast magnetic resonance imaging in fontan patients

A novel technique for establishing total cavopulmonary connection: From surgical preconditioning to interventional completion Uwe Klima, MDa, Tina Peters,

Ian Adatia, FRCP(C), Andrew M. Atz, MD, Richard A. Jonas, MD, David L

Highly efficient ex vivo gene transfer to the transplanted heart by means of hypothermic perfusion with a low dose of adenoviral vector Carlo Pellegrini,

Paul M. Kirshbom, MD, James J. Jaggers, MD, Ross M. Ungerleider, MD

Resmi KrishnankuttyRema, MS, Lakshmi P

Introduction of a New Optimized Total Cavopulmonary Connection

Pulmonary artery–bronchial fistula during lymphoma treatment

Pulmonary hepatic flow distribution in total cavopulmonary connections: Extracardiac versus intracardiac Lakshmi P. Dasi, PhD, Kevin Whitehead, PhD,

Penetration of intravenous antibiotics from the lung into the pleural space after pulmonary resection* T. Sakuma, MD, H. Kubo, MD, T. Tanita, MD, K.

In Vitro Flow Analysis of a Patient-Specific Intraatrial Total Cavopulmonary Connection Diane A. de Zélicourt, MS, Kerem Pekkan, PhD, Lisa Wills, BS,

Management of a Stenotic Right Ventricle-Pulmonary Artery Shunt Early After the Norwood Procedure Tain-Yen Hsia, MD, Francesco Migliavacca, PhD, Giancarlo.

Kamal Raissi, MD, Mahmood Meraji, MD, Hassan M. Sadeghi, MD, S. H

Quantification of caval flow contribution to the lungs in vivo after total cavopulmonary connection with 4-dimensional flow magnetic resonance imaging

The clamshell incision for bilateral pulmonary artery reconstruction in tetralogy of fallot with pulmonary atresia Giovanni Battista Luciani, MDa, Winfield.

Use of computational fluid dynamics in the design of surgical procedures: Application to the study of competitive flows in cavopulmonary connections

A computerized control system for cardiopulmonary bypass

Computational fluid dynamics in the evaluation of hemodynamic performance of cavopulmonary connections after the norwood procedure for hypoplastic left.

Fontan hemodynamics from 100 patient-specific cardiac magnetic resonance studies: A computational fluid dynamics analysis Christopher M. Haggerty, PhD,

A pulsatile hemodynamic evaluation of the commercially available bifurcated Y-graft Fontan modification and comparison with the lateral tunnel and extracardiac.

Oxygen consumption after cardiopulmonary bypass surgery in children: Determinants and implications Jia Li, MDa, Ingram Schulze-Neick, MDa, Christopher.

Flow study of an extracardiac connection with persistent left superior vena cava Diane A. de Zélicourt, MSc, Kerem Pekkan, PhD, James Parks, MD, Kirk.

Christopher M. Haggerty, BS, Kirk R

Hepatic blood flow distribution and performance in conventional and novel Y-graft Fontan geometries: A case series computational fluid dynamics study

An experimental model for the prevention of postanastomotic tracheal stenosis Jerónimo Gonzálvez-Piñera, MD, Alberto Pérez-Martínez, MD, Alfredo Marco-Macián,

Richard J. Novick, MDa, Ruud A. W

Editorial: The core of leadership

Beyond Flatland The Journal of Thoracic and Cardiovascular Surgery

In vivo flow dynamics of the total cavopulmonary connection from three-dimensional multislice magnetic resonance imaging Shiva Sharma, MD, Ann E Ensley,

Clinical experience with carinal resection

Subclavian artery involvement by apical chest tumors: A specific indication for the transmanubrial approach Lorenzo Spaggiari, MD, PhD, Ugo Pastorino,

Support Your Specialty

Muhammad Aanish Raees, MBBS, Driss Mazhar, DFGSM, Jason T

Reversal of refractory hypotension with single-dose methylene blue after coronary artery bypass surgery P. Yiu, FRCSa, J. Robin, MRCPb, C.W. Pattison,

Newly designed extracardiac direct total cavopulmonary connection with merged connection and mixing route Nobuyuki Ishibashi, MD, Mitsuru Aoki, MD, Manabu.

T. V. How, PhD, C. S. Rowe, PhD, G. L. Gilling-Smith, MS, FRCS, P. L

Switch back: Using the pulmonary autograft to replace the aortic valve after arterial switch operation Mark G. Hazekamp, MD, PhDa, Paul H. Schoof, MDa,

Shinya Murakami, MD. , Emile A. Bacha, MD

The multi–purse string maze procedure: A new surgical technique to perform the full maze procedure without atriotomies Niv Ad, MD The Journal of Thoracic.

Effect of distal graft anastomosis site on retrograde perfusion and flow patterns of native coronary vasculature Lin-rui Guo, MD, David A Steinman, PhD,

Elspeth M. Brown, MRCP, Anthony P. Salmon, FRCP, Robert K. Lamb, FRCS

Anna N. Seale, MB BChir, MD, Piers E.F. Daubeney, DM, FRCPCH

Shunt right or left? Decision 2016

The limits of detectable cerebral perfusion by transcranial doppler sonography in neonates undergoing deep hypothermic low-flow cardiopulmonary bypass

Christopher E. Mascio, MD, Christopher L. Johnsrude, MD, Edward S

Postbypass effects of delayed rewarming on cerebral blood flow velocities in infants after total circulatory arrest Rosendo A. Rodriguez, MD, PhDa (by.

Human factors and cardiac surgery: A multicenter study

Discussion The Journal of Thoracic and Cardiovascular Surgery

Christopher M. Haggerty, PhD, Kevin K

Reconstruction of the pulmonary artery by a conduit of autologous pericardium Erino A. Rendina, MDa, Federico Venuta, MDa, Tiziano De Giacomo, MDa, Dario.

Atypical bronchoplasty to preserve the lung parenchyma: The bronchofolding technique Mitsuhiro Kamiyoshihara, MD, PhD, Takashi Ibe, MD, Atsushi Takise,

Superior approach to the left main coronary artery for surgical angioplasty Kiyoyuki Eishi, MD, Hiroaki Sasaki, MD, Kiyoharu Nakano, MD, Yoshio Kosakai,

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Peter B. Manning, MD§, John E. Mayer, MD, Gil Wernovsky, MD§, Steven B

Augmentation of pulmonary blood flow with an axillary arteriovenous fistula after a cavopulmonary shunt Alan Magee, MD, Eugene Sim, MD, Lee N. Benson,

The lower limit of the pulmonary artery index for the extracardiac Fontan circulation Keiichi Itatani, MD, Kagami Miyaji, MD, Yayoi Nakahata, MD, Kuniyoshi.

One-lung ventilation during surgical procedures on the main bronchus and carina A. Fontana, MD, S. Nazari, MD The Journal of Thoracic and Cardiovascular.

Edward Y. Chan, MD, Michael J. Reardon, MD

Presentation transcript:

Use of computational fluid dynamics in the design of surgical procedures: Application to the study of competitive flows in cavopulmonary connections M.R. de Leval, MD, FRCSa, G. Dubini, PhDc§, F. Migliavacca c§, H. Jalali, MDa§, G. Camporini a§, A. Redington b§, R. Pietrabissa, PhDc§ The Journal of Thoracic and Cardiovascular Surgery Volume 111, Issue 3, Pages 502-513 (March 1996) DOI: 10.1016/S0022-5223(96)70302-1 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 Diagram of a FEM mesh of the TCPC model. The insets show the finite elements with low presentation of an eight-node (three-dimensional) isoparametric brick element with locations for velocity vectors and for pressure calculation in another element. LUPA, Left upper pulmonary artery; LLPA, left lower pulmonary artery; RUPA, right upper pulmonary artery; RLPA, right lower pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Upper panel shows Wdiss and Ce as functions of the offset of the caval anastomosis in the first series of TCPC simulations. Flow distribution between the two lungs is represented in the lower panel. Width of both caval anastomoses is kept constant at 1.5 cm. The dashed line represents the ratio corresponding to the assumed normal flow rates through both lungs (45% to the left and 55% to the right). The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Upper panel shows Wdiss and Ce as functions of the offset of the caval anastomosis in the first series of TCPC simulations. Flow distribution between the two lungs is represented in the lower panel. Width of both caval anastomoses is kept constant at 1.5 cm. The dashed line represents the ratio corresponding to the assumed normal flow rates through both lungs (45% to the left and 55% to the right). The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Details of the mesh of the TCPC models in which the IVC anastomosis is enlarged with a range of offsets (second series). Width of the SVC anastomosis is kept constant at 1.5 cm; width of the IVC anastomosis (lIVC) is 2.2 cm except in model T2.5, where it is 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 C e and flow distribution as a function of the offset and of the enlargement of the IVC anastomosis in the second series of TCPC simulations. Open circles refer to the models with IVC anastomoses of 2.2 cm; the solid rectangles refer to the model with IVC anastomosis of 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 C e and flow distribution as a function of the offset and of the enlargement of the IVC anastomosis in the second series of TCPC simulations. Open circles refer to the models with IVC anastomoses of 2.2 cm; the solid rectangles refer to the model with IVC anastomosis of 2.5 cm. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 Particle path plots and velocity vector map for the TCPC model with enlargement of the IVC anastomosis toward the right pulmonary artery (IVC anastomosis width of 2.2 cm and offset of 0.7 cm). The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 Illustration of the surgical technique of patch enlargement of the IVC anastomosis with a lateral polytetrafluoroethylene patch. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 7 Modified TCPC completed. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 8 Grid of BCPA with forward flow from the native pulmonary artery. The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 9 Particle path plots with injection of the tracer from pulmonary artery (left) and SVC (right) in the BCPA and ABF models (without pulmonary stenosis). The Journal of Thoracic and Cardiovascular Surgery 1996 111, 502-513DOI: (10.1016/S0022-5223(96)70302-1) Copyright © 1996 Mosby, Inc. Terms and Conditions